Water ecosystems polluted by heavy metals, such as cadmium, may also be affected by the increasing presence of TiO2 NPs. Several researchers have studied the effects of the two contaminants individually, however only a few studies on their joint action have been published for plants. Focusing on the aquatic environment, the hydrophyte Azolla filiculoides can be a useful model to assess if TiO2 NPs may in some way alleviate the Cd injuries and improve the ability of the plant to cope with this metal. With this mechanistic hypothesis, after a pre-treatment with TiO2 NPs, A. filiculoides plants were transferred to cadmium contaminated water with or without TiO2 nanoparticles. After five days of treatment, cadmium uptake, morpho-anatomical and physiological aspects were studied in plants. The continuous presence of TiO2 nanoparticles, though not increasing the uptake of cadmium in comparison with a priming treatment, induced a higher translocation of this heavy metal to the aerial portion. Despite the translocation factor was always well below 1, cadmium contents in the fronds, generally greater than 100 ppm, ranked A. filiculoides as a good cadmium accumulator.Higher cadmium contents in leaves did not induce damages to the photosynthetic machinery probably thanks to a compartmentalization strategy aimed at confining most of this pollutant to less metabolically active peripheral cells. The permanence of NPs in growth medium ensured a better efficiency of the antioxidant apparatus (proline and glutathione peroxidase and catalase activities), induced a decrease in H2O2 content, however was not able to lower the oxidative damage (in terms of TBARS).